Rotation-plasty: Surgical technique of resection and reconstruction in the treatment of osteosarcoma about the knee in children

F. J. Frassica, H. S. Schwartz, P. C. Pairolero, F. H. Sim

Research output: Contribution to journalArticle

Abstract

Resection of malignant tumors about the knee, followed by reconstruction of the lower limb by rotating it through an arc of 180 degrees is becoming a popular method of treatment of osteosarcoma in growing children. Following rotation, the rotated ankle functions as the knee joint, powering a custom-made prosthesis. The functional result is superior to above-knee amputation with better propioceptive feedback and the absence of phantom limb pain. The children are able to climb stairs well and participate in running sports. The surgical technique is demanding, requiring a precise knowledge of the surgical anatomy. To be successful, the sciatic, peroneal, and tibial nerves must be preserved. The femoral and popliteal artery may be resected and reconstructed if necessary. The remaining growth of the child is determined so that the rotated ankle can be positioned at the level of the contralateral normal knee.

Original languageEnglish (US)
Pages (from-to)105-116
Number of pages12
JournalClinical Anatomy
Volume1
Issue number2
StatePublished - 1988
Externally publishedYes

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Osteosarcoma
Knee
Ankle
Phantom Limb
Popliteal Artery
Tibial Nerve
Peroneal Nerve
Sciatic Nerve
Femoral Artery
Knee Joint
Amputation
Running
Prostheses and Implants
Sports
Lower Extremity
Anatomy
Therapeutics
Growth
Neoplasms

ASJC Scopus subject areas

  • Anatomy

Cite this

Rotation-plasty : Surgical technique of resection and reconstruction in the treatment of osteosarcoma about the knee in children. / Frassica, F. J.; Schwartz, H. S.; Pairolero, P. C.; Sim, F. H.

In: Clinical Anatomy, Vol. 1, No. 2, 1988, p. 105-116.

Research output: Contribution to journalArticle

Frassica, F. J. ; Schwartz, H. S. ; Pairolero, P. C. ; Sim, F. H. / Rotation-plasty : Surgical technique of resection and reconstruction in the treatment of osteosarcoma about the knee in children. In: Clinical Anatomy. 1988 ; Vol. 1, No. 2. pp. 105-116.
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